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The effect of an attachment-oriented couple intervention for breast cancer patients and partners in the early treatment phase: A randomised controlled trial.
Nicolaisen, A; Hagedoorn, M; Hansen, D G; Flyger, H L; Christensen, R; Rottmann, N; Lunn, P B; Terp, H; Soee, K; Johansen, C.
Afiliação
  • Nicolaisen A; National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense C, Denmark.
  • Hagedoorn M; Center for Quality, Region of Southern Denmark, Middelfart, Denmark.
  • Hansen DG; Department of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
  • Flyger HL; National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense C, Denmark.
  • Christensen R; Department of Breast Surgery, Herlev University Hospital, Herlev, Denmark.
  • Rottmann N; National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense C, Denmark.
  • Lunn PB; National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense C, Denmark.
  • Terp H; Department of Psychology, University of Southern Denmark, Odense M, Denmark.
  • Soee K; Department of Plastic Surgery and Breast Surgery, Ringsted Hospital, Ringsted, Denmark.
  • Johansen C; National Research Centre for Cancer Rehabilitation, Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense C, Denmark.
Psychooncology ; 27(3): 922-928, 2018 03.
Article em En | MEDLINE | ID: mdl-29265672
ABSTRACT

OBJECTIVE:

Patients and partners both cope individually and as a dyad with challenges related to a breast cancer diagnosis. The objective of this study was to evaluate the effect of a psychological attachment-oriented couple intervention for breast cancer patients and partners in the early treatment phase.

METHODS:

A randomised controlled trial including 198 recently diagnosed breast cancer patients and their partners. Couples were randomised to the Hand in Hand (HiH) intervention in addition to usual care or to usual care only. Self-report assessments were conducted for both patients and partners at baseline, postintervention (5 months), and follow-up (10 months), assessing cancer-related distress, symptoms of anxiety and depression, and dyadic adjustment. Patients' cancer-related distress was the primary outcome.

RESULTS:

Cancer-related distress decreased over time in both patients and partners, but the intervention did not significantly affect this decrease at postintervention (P = .08) or follow-up (P = .71). A significant positive effect was found on dyadic adjustment at follow-up for both patients (P = .04) and partners (P = .02).

CONCLUSIONS:

There was no significant effect of the HiH intervention cancer-related distress. The results suggest that most couples can cope with cancer-related distress in the context of usual care. However, the positive effect on dyadic adjustment implies that the HiH intervention benefitted both patients and partners. Future studies should investigate how to integrate a couple focus in usual cancer care to improve dyadic coping in the early treatment phase.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Estresse Psicológico / Neoplasias da Mama / Avaliação de Resultados em Cuidados de Saúde / Cônjuges / Terapia de Casal / Relações Interpessoais / Apego ao Objeto Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Estresse Psicológico / Neoplasias da Mama / Avaliação de Resultados em Cuidados de Saúde / Cônjuges / Terapia de Casal / Relações Interpessoais / Apego ao Objeto Tipo de estudo: Clinical_trials / Observational_studies / Prognostic_studies Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Ano de publicação: 2018 Tipo de documento: Article